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Personal Protective Equipment

HAZARD ASSESSMENT
Location:

Conducted By:

Date:

Tasks performed at this location:


Directions: Review the tasks at the worksite to determine if any of these hazards exist. Place an x in the appropriate box. If any of
the indicated hazards are present, describe the hazard, eliminate it or identify the appropriate PPE to be used.
OVERHEAD HAZARDS
1
Suspended/elevated loads, beams, or objects that
could fall or strike head
2
Flying objects that could strike head
3
4

Energized wires or equipment that could strike


head
Sharp objects or corners at head level

EYE HAZARDS
5
Chemical splashes or irritating mists
6

Excessive dust

7
8

Smoke and/or fumes


Welding operations

Lasers/optical radiation

10

Projectiles

11

Sawing, cutting, chipping, and/or grinding

Yes No
x

x
x

Welding operations

No Recommended PPE
See Supplemental Information A for additional
information
Safety glasses or goggles
x

x
x
x

Yes
x

13

Hard hat, ANZI Z89, Class G or E


(dependent on potential voltage)
Hard hat, ANSI Z89, Class G, E or C

FACE HAZARDS
12 Chemical splashes or irritating mists

Hard hat, ANSI Z89, Class G, E or C

Yes

Recommended PPE
Hard hat, ANSI Z89, Class G, E or C

Safety goggles
Welding goggles; See Supplemental
Information A and B for additional information
Have URS HSE Representative assist you
in proper selection
Safety glasses or goggles plus face shield
Safety glasses or goggles plus face
shield; See Supplemental Information A
for additional information

No Recommended PPE
Safety goggles; See Supplemental
Information A for more information; add
face shield if irritating or corrosive
Welding goggles or welding helmet; see
Supplemental Information A and B for

If yes, describe hazard details


Hazard during general maintenance activities. Operating
overhead cranes. Hard hat required.
Hazard during general maintenance activities. Operating
overhead cranes. Hard hat required.
Hazards during troubleshooting live electrical and performing live
electrical work. Arc flash protection required.
Hazards during maintenance on equipment. Hard hat required.
If yes, describe hazard details
Working in the chemical areas and using cleaning agents.
Safety glasses and face shield required.
Excessive dust created when sweeping floors and working
overhead. Sealed safety glasses required.
Hazard when welding. Welding shield required.

Hazards during general maintenance activities. Safety glasses


required.
Grinders used for maintenance activities. Face shield required.

If yes, describe hazard details


Hazards working in the chemical areas and using cleaning
agents. Safety glasses and face shield required.
Hazard when welding. Welding shield required.

Personal Protective Equipment


14

Projectiles

HAND HAZARDS
15 Chemical exposure

x
Yes
x

16

Sharp edges, splinters, etc.

17

Temperature extremes heat

18
19
20

Temperature extremes cold


Blood, fungus, biological agents
Exposure to live electrical currents

21
22

Sharp tools, machine parts, etc.


Material handling

FOOT HAZARDS
23 Heavy materials (greater than 50 pounds) handled
by employees
24 Potential to crush whole foot
25
26

x
x
x
x
x

x
x

Leather gloves, welders gloves, hot mill


Gloves
Insulated gloves
Nitrile gloves
Electrical gloves; consult HSE
Representative
Leather or Kevlar gloves
Leather gloves

No Recommended PPE
Safety shoes or boots
x

Sharp edges or points (puncture risk)


Exposure to electrical hazards

Slippery conditions
Chemical contamination

Leather or Kevlar gloves

27
28

No Recommended PPE
Use chemical-resistant gloves specific to
hazard; consult MSDS, chemical hazard
guide, or HSE Representative

Yes

additional information
Safety glasses or goggles plus face shield

Safety shoes or boots with metatarsal


guard
Safety shoes or boots
Safety shoes or boots with:
Conductive - Protects the wearer in an
environment where the accumulation of static
electricity on the body is a hazard.
Static dissipative - Reduces the accumulation
of excess static electricity by conducting body
charge to ground while maintaining a
sufficiently high level of resistance.
Electrical hazard - Provides a secondary
source of protection against accidental contact
with live electrical circuits, electrically
energized conductors, parts or apparatus, and
is manufactured with nonconductive electrical
shock resistant soles and heals.
Rubber-soled boots or grips
Rubber, PVC, or polyurethane boots or
boot covers with puncture and protective

If yes, describe hazard details


Hazards when handling general paints and oils, cleaning agents
and any other chemical. Chemical protective gloves required.
Nitrile for paints, oils and cleaning chemicals. Neoprene
required for work in chemicals.
Hazards exist throughout the plant. General use gloves required
with a minimum cut resistance of 2.
Welding operations. Welding gloves required.

Hazard when workiing in chemical. Nitrile gloves required.


Hazards during troubleshooting live electrical and performing live
electrical work. Arc flash protection required.
General material handling activities. General use gloves
required.
If yes, describe hazard details
Exposed to heavy material during general maintenance
activities.

Hazards during troubleshooting live electrical and performing live


electrical work. Arc flash protection required.

Chemical exposure risk in chemical areas during cleanup


activities. Rubber overs required.

Personal Protective Equipment


29
30

Wet conditions
Construction/demolition

FALL HAZARDS
31 Elevations above 4 feet (general industry) or 6 feet
(construction) without guardrails
32
33
34

Suspended scaffolds, boatswains chairs, float


scaffolds, or suspended staging
Working in trees
Working in vehicle-mounted elevating work
platforms (e.g., bucket trucks, aerial lifts)

x
x
Yes

toe if task required


Rubber boots or boot covers
Safety boots with metatarsal guard if foot
crushing hazard exists

No Recommended PPE
ANSI A-10.14 Type 1 full-body harness

x
x
x

If yes, describe hazard details


Work will be common at heights greater than four feet. Work
performed in aerial lifts and on machines. Fall protection
required.

ANSI A-10.14 Type 1 full-body harness


ANSI A-10.14 Type 1 full-body harness
ANSI A-10.14 Type 1 full-body harness

Work will be common at heights greater than four feet. Work


performed in aerial lifts and on machines. Fall protection
required.

WATER HAZARDS
35 Working on or above water where a risk of
drowning exists

Yes

No Recommended PPE
U.S. Coast Guard approved personal
x
floatation device; Type I, II, or III

If yes, describe hazard details

EXCESSIVE HEAT OR FLAME


36 Full body chemical protective clothing in
temperatures greater than 80 degrees F
37 Work around molten metal or flame
38 Welding activities

Yes

No Recommended PPE
Cooling vest
x

If yes, describe hazard details

RESPIRATORY HAZARDS
39 Airborne particulates, gases, vapors, or mists in
excess of established exposure limits

Yes

EXCESSIVE NOISE
40 Exposure to noise
BODY AND LEG PROTECTION
,41 Chemical exposure
42
43

Using chainsaw, cutting brush


Exposure to snakes

x
x

Nomex or heat reflective clothing


Welding leathers for those areas that are
exposed to flame, spark, or molten metal

Welding operations. Welding jacket required.

No Recommended PPE
Refer to SMS 042 or URS HSE
Representative for respirator selection
guidance

If yes, describe hazard details

Yes
x

No Recommended PPE
Ear plugs, muffs or both

If yes, describe hazard details


Hearing protection required throughout the facility.

Yes

No Recommended PPE
Contact URS HSE Representative for
assistance in proper selection
x Chainsaw chaps
Snake chaps

If yes, describe hazard details


Chemical exposure risk in chemical when handling chemicals.
Chemical protective apron required.

x
x

Cobras, snake chaps required at all times.

Personal Protective Equipment


Additional input if required.

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